NPIMap

Individual provider Active NPI

Eugene R Moore, CRNA

  • Certified Registered Nurse Anesthetist
  • Altoona, PA
National Provider Identifier
1245414788
Registry record updated Dec 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN529597L Issued in PA
Practice address
620 Howard Ave
Altoona, PA 16601-4804
Phone
(814) 943-5901
Fax
(814) 943-3429
NPI assigned
Dec 19, 2007
Last updated
Dec 19, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN529597L PA Primary

Addresses

Primary practice location

620 Howard Ave
Altoona, PA 16601-4804

Mailing address

1701 12TH Ave Ste G2
Altoona, PA 16601-3100
Phone (814) 943-5901

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080104000036 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2062592926 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
J C Blair Memorial HospitalGroup PAC ID 2668378407, shared by 7 NPIs, 98 clinicians
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians

Practice addresses (Care Compare)

1225 Warm Springs Ave
PHHD Anesthesia Dept
Huntingdon, PA 16652-2350
Phone (814) 643-2290

400 Highland Ave
Lewistown, PA 17044-1167
Phone (717) 248-5411

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN529597LPAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic CurrentSince Jan 3, 2022 Accepting new patients
Geisinger Clinic Current Accepting new patients
J C Blair Memorial Hospital Current Accepting new patients
Fink Anesthesia Inc Nurse Anesthetist, Certified Registered CurrentSince Sep 5, 2020 Accepting new patients
Geisinger Clinic CurrentSince Jan 3, 2022 Accepting new patients
Tyrone Hospital CurrentSince Dec 1, 2025 Accepting new patients
J C Blair Memorial Hospital CurrentSince May 5, 2020 Accepting new patients
Tyrone Hospital CurrentSince Dec 1, 2025 Accepting new patients
J C Blair Memorial Hospital Current Accepting new patients
J C Blair Memorial Hospital Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2025 Accepting new patients
J C Blair Medical Services Inc Nurse Anesthetist, Certified Registered CurrentSince Nov 2, 2011 Accepting new patients
Blair County Anesthesia, P.C. Past Accepting new patients
Centre County Anesthesia, P.C. Past Accepting new patients
Western Pennsylvania Anesthesia Associates, LTD. Past Accepting new patients
State College Anesthesia Associates, P.C. Past Accepting new patients

Locations

100 N Academy Ave
Danville, PA 17822

1225 Warm Springs Ave
Huntingdon, PA 16652
Phone (814) 643-8206

7651 Lake Raystown Shopping Ctr
Huntingdon, PA 16652
Phone (814) 643-8485

400 Highland Ave
Lewistown, PA 17044
Phone (717) 242-7473

155 Wellness Way
State College, PA 16803
Phone (800) 367-0179

187 Hospital Dr
Tyrone, PA 16686
Phone (814) 342-2333

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 15

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198022400000",
    "number": "1245414788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 12TH AVE STE G2",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166013100",
            "telephone_number": "814-943-5901",
            "fax_number": "814-943-3429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 HOWARD AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166014804",
            "telephone_number": "814-943-5901",
            "fax_number": "814-943-3429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "EUGENE",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-19",
        "last_updated": "2007-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN529597L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.